Provider Demographics
NPI:1245284736
Name:OUTSOURCE MEDICAL ENTERPRISE
Entity type:Organization
Organization Name:OUTSOURCE MEDICAL ENTERPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-944-4697
Mailing Address - Street 1:1302 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-4716
Mailing Address - Country:US
Mailing Address - Phone:419-944-4697
Mailing Address - Fax:
Practice Address - Street 1:1302 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-4716
Practice Address - Country:US
Practice Address - Phone:419-944-4697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered385H00000XRespite Care FacilityRespite Care
Not Answered251E00000XAgenciesHome Health
Not Answered251B00000XAgenciesCase Management
Not Answered251G00000XAgenciesHospice Care, Community Based